<table border=0 cellpadding=0 cellspacing=0 bgcolor="#cecece">
  <tr>
    <td>
	
	<table border=0 cellpadding=2 cellspacing=1 align="center"> 
	 <tr bgcolor="#ffffff">
    <td><font color="red"><b>*</b></font><font face="verdana,arial" size=2> $LDInternalCodeNr </td>
    <td><input type="text" name="code" size=15 maxlength=15 value="$code">
        </td>
  </tr>
  <tr bgcolor="#ffffff">
    <td><font color="red"><b>*</b></font><font face="verdana,arial" size=2> $LDDescription </td>
    <td><textarea name="description" cols=40 rows=4 wrap="physical">$description</textarea>
        </td>
  </tr>
  <tr bgcolor="#ffffff">
    <td><font face="verdana,arial" size=2> $LDSynonyms </td>
    <td> <font face="arial" size=1 ><br><textarea name="synonyms" cols=40 rows=3 wrap="physical">$synonyms</textarea><br>
     ( $LDSeparateCommas )</td>
  </tr>
  <tr bgcolor="#ffffff">
    <td colspan=2><font face="verdana,arial" size=2 color="maroon"> $LDAuxillaryNotes &nbsp;</td>
  </tr>
  <tr bgcolor="#ffffff">
    <td><font face="verdana,arial" size=2> $LDIsSubGroup </td>
    <td><font face="verdana,arial" size=2><input type="radio" name="sub_level" value="1"> $LDYes  <input type="radio" name="sub_level" value="0" checked> $LDNo 
        </td>
  </tr>
  <tr bgcolor="#ffffff">
    <td><font face="verdana,arial" size=2> $LDParentCodeNr </font></td>
    <td><input type="text" name="parent_code" size=15 maxlength=15 value="$parent_code"> <font face="arial" size=1 >( $LDIfSubGroup )</font>
        </td>
  </tr>
  <tr bgcolor="#ffffff">
    <td><font face="verdana,arial" size=2> $LDStdCodeNr </td>
    <td><input type="text" name="std_code" size=15 maxlength=15 value="$std_code"> <font face="arial" size=1 >( $LDIfAvailable )
        </td>
  </tr>
  <tr bgcolor="#ffffff">
    <td><font face="verdana,arial" size=2> $LDExtraNotes </td>
    <td><textarea name="notes" cols=40 rows=3 wrap="physical">$notes</textarea></td>
  </tr>
</table>
	
	</td>
  </tr>
</table>
<!-- Do not remove the following lines -->
<input type="hidden" name="mode" value="save">
<input type="image" $TP_submit_src>
